The aim of this paper is to study the macrofaunal community dynamics and the biological–environmental interactions in the mid- and sublittoral ecosystems of the microtidal Mediterranean sandy shores. Four sandy beaches, three on the island of Crete and one on the northwest coast of Italy were selected to investigate the spatial and temporal changes in the community structure and the associated environmental variables. The littoral zone, which has not been adequately studied in the Eastern Mediterranean, presents special interest not only from the scientific point of view but also for practical reasons of ecological management. The multivariate techniques revealed that the community pattern of the sandy beach macrofauna is mainly spatial rather than temporal. There are pronounced differences in species composition and abundance of the macrofaunal assemblages of the mid- and sublittoral zone. The multicausal environmental severity hypothesis appears to be valid for the sandy beach macrofaunal communities of the Mediterranean. The abundance and composition of the macrofaunal assemblages are highly variable and are affected by the synergistic effects of many environmental variables. The polychaete taxonomic assemblage structure closely follows the macrofaunal community pattern. Differences between the two patterns may arise from the different responses that polychaetes may show to the environmental stress.